SHELLY KHALDI PSYCHOTHERAPY NPI 1700503802

NPI Information

  • NPI: 1700503802
  • Provider Name: SHELLY KHALDI, PSYCHOTHERAPY
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 1304 SOUTH DESOTO AVENUE SUITE 204
    2144 SEVEN SPRINGS BOULEVARD
    TRINITY, FL
    ZIP 34655
  • Phone: (727) 992-0038

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NPI Details

SHELLY KHALDI, PSYCHOTHERAPY is a mental health counselor in Trinity, FL. SHELLY KHALDI, PSYCHOTHERAPY NPI is 1700503802. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1304 SOUTH DESOTO AVENUE SUITE 204
2144 SEVEN SPRINGS BOULEVARD
TRINITY, FL
ZIP 34655
Phone: (727) 992-0038

The provider's authorized official is Shelly Khaldi .
The authorized official title is Psychotherapist and has the following contact phone number (727) 992-0038.

The enumeration date for this NPI number is 10/20/2022 and was last updated on 10/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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